Is Hypothyroidism a Cause of Ovarian Cysts?- This Unusual Case Depicts So
|
|
- Merilyn Holt
- 8 years ago
- Views:
Transcription
1 Article ID: WMC ISSN Is Hypothyroidism a Cause of Ovarian Cysts?- This Unusual Case Depicts So Corresponding Author: Prof. Rajiv R Mahendru, Consultant, Obs Gyn, MMIMSR, India Submitting Author: Prof. Rajiv R Mahendru, Consultant, Obs Gyn, MMIMSR, India Article ID: WMC Article Type: Original Articles Submitted on:01-mar-2011, 02:56:39 PM GMT Article URL: Subject Categories:OBSTETRICS AND GYNAECOLOGY Keywords:Ovarian Cyst, Hypothyroidism, Prepubertal Published on: 07-Mar-2011, 05:52:57 PM GMT How to cite the article:mahendru RR, Mittal A, Gaba G. Is Hypothyroidism a Cause of Ovarian Cysts?- This Unusual Case Depicts So. WebmedCentral OBSTETRICS AND GYNAECOLOGY 2011;2(3):WMC Source(s) of Funding: MMET Competing Interests: No Competing Interests WebmedCentral > Original Articles Page 1 of 6
2 Is Hypothyroidism a Cause of Ovarian Cysts?- This Unusual Case Depicts So Author(s): Mahendru RR, Mittal A, Gaba G Abstract Presented in this report is apparently the first case of its kind in the medical literature where an 11 year old prepubescent girl who had co-existent presence of hypothyroidism and multiple large ovarian cysts not only had remarkable improvement in her physical appearance with conservative management with L-Thyroxine alone but also had disappearance of her large ovarian cysts without the need of any surgical intervention, whatsoever. Introduction Hardly any data is available as to the association of hypothyroidism and ovarian cysts. Till date, the mechanism of cyst formation in ovaries in patients of primary hypothyroidism remains unclear. 1 Case Report Written consent was taken from the patient (along with her guardians) and the Departmental Ethical Committee approved this report. A case is presented of a female child aged 11 years, who reported with complaints of increasing obesity and lack of proper growth, lethargy, fatigue, lack of concentration in studies, with no history of menarche or precocious puberty. She had had pain in the pelvic area for last one week. Significant findings on General Physical examination were of stunted growth for her age with weak reflexes and marked obesity (weight 44.5 Kilograms). Her per abdomen examination was normal and on per rectal examination, uterus was apparentally of pre-pubertal size with bilateral cystic masses of the size of a tennis ball. Routine laboratory investigations were normal and Thyroid profile status revealed decreased T3 value of 0.25ng/ml and T4 value of 1ng/dl with markedly raised TSH value of IU/ml. Radiographs of the skull and chest were normal On ultrasonography of thyroid and upper abdomen no abnormality was detected while that of pelvis showed bilateral ovarian enlargement with multi loculated cysts measuring 8cm x 7cm x 7cm in right ovary and 7cm x 7cm x 7cm on the left side with uterus being of average prepubertal dimensions (Figure-1). The patient was put on oral L-Thyroxine, 50 mcg. On follow up, the patient started showing signs of improvement within a month as her weight started reducing while pelvic ultrasonography revealed regression in the size of the ovarian cysts. After five months of treatment, her weight was 28.0 kg, thyroid function tests within normal values and marked reduction in the size of the ovarian cysts (Figure-2) and near normal size of the ovaries at one year. This patient is presently on regular treatment and follow-up. Discussion Although pathophysiology remains unclear, association of multicystic ovarian disease with hypothyroidism has been described in literature 2-4. Various mechanisms were postulated which included altered oestrogen metabolism, hypothalamo-pituitary dysfunction and deranged prolactin metabolism 2. According to Anasti et al 5 ovarian enlargement in severe hypothyroidism was probably due to stimulation of FSH receptors by unusually high TSH levels proved to have a weak FSH like activity. Evers and Rolland 3 confirmed that cross reaction of high TSH could produce FSH- and LH-like activity which might be responsible for the cyst formation in the ovaries. Likely mechanism of ovarian hyperstimulation with hypothyroidism in the present case appears to be mutation in FSH receptors that may further increase the sensitivity of FSH receptors to the TSH as proposed by Vasseur et al 6 and Smith et al 7. Merchline et al 4 reported that in some cases there might be hyper secretion of one or the other trophic hormones by the pituitary in response to deficiency of one of the endocrine glands (as of thyroid hormone), thereby, stimulating gonadotrophin release and hence FSH and LH leading to symptoms of precocious puberty with or without enlargement of the pituitary gland in response to an end organ deficiency. Both precocious puberty and pituitary enlargement were not to be seen in the case being discussed. With treatment of hypothyroidism alone, there was not only remarkable symptomatic improvement but also normalization of thyroid function tests and resolution of ovarian cysts as in the studies of Hansen et al 2 and Yamashita et al 8 and consequently no surgical intervention was WebmedCentral > Original Articles Page 2 of 6
3 warranted as reported by Bassam and Ajlouni 1 and Merchline et al 4. Conclusion Medicine 2001; 40: Figure-1.legend: ovarian cysts at the time of presentation Figure-2.Legend: marked reduction in the size of ovarian cysts with treatment In a prepubescent female whenever large ovarian cysts are detected, possibility of hypothyroidism should be kept as the diagnosis of this entity is a guide for the conservative management by thyroid hormone replacement therapy as the ovarian cysts regress in size along with improvement in the symptoms of the patient, thereby, avoiding unwarranted surgical intervention. Conflicts of interest: authors declare that there are no conflicts of interest. ACKNOWLEDGEMENTS : M.M. EDUCATIONAL TRUST References 1. Bassam T and Ajlouni K. A case of ovarian enlargement in severe primary hypothyroidism and review of literature. Ann Saudi Med 2006; 26: Hansen K, Tho S, Hanly M et al. Massive ovarian enlargement in primary hypothyroidism. Fertil Steril 1997; 67: Evers JL, Rolland R. Primary hypothyroidism and ovarian activity: evidence for overlap in the synthesis of pituitary glycoproteins- a Case report. BJOG 1981; 88: Merchline M, Riddlesberger Jr.,Jerald PK, Richard WM. The association of juvenile hypothyroidism and cystic ovaries. Radiology 1981; 139: Anasti JN, Flack MR, Froehlich J, Nelson LM, Nisula BC. A potential novel mechanism for precocious puberty in juvenile hypothyroidism. J clin Endocrinol Metab 1995; 80: Vasseur C, Rodien P, Beau I, Desroches A, Gerard C, de Poncheville L, Chaplot S, et al. A chorionic gonadotropin-sensitive mutation in the follicle-stimulating hormone receptor as a case of familial gestational spontaneous ovarian hyperstimulation syndrome. N Engl J Med. 2003; 349: Smith G, Olalunbosun O, Delbaere A, Pierson R, Vassart G, Coslagliola S. Ovarian hyperstimulation syndrome due to a mutation in the follicle-stimulating hormone receptor. N Engl J Med. 2003; 349: Yamashita Y, Kawamura T, Fuzikawa R, Mochizuki H, Okubo M and Arita K. Regression of both pituitary and ovarian cysts after administration of thyroid hormone in a case of primary hypothyroidism. Internal WebmedCentral > Original Articles Page 3 of 6
4 Illustrations Illustration 1 Figure-1.Legend: ovarian cysts at the time of presentation WebmedCentral > Original Articles Page 4 of 6
5 Illustration 2 Marked reduction in the size of ovarian cysts with treatment WebmedCentral > Original Articles Page 5 of 6
6 Disclaimer This article has been downloaded from WebmedCentral. With our unique author driven post publication peer review, contents posted on this web portal do not undergo any prepublication peer or editorial review. It is completely the responsibility of the authors to ensure not only scientific and ethical standards of the manuscript but also its grammatical accuracy. Authors must ensure that they obtain all the necessary permissions before submitting any information that requires obtaining a consent or approval from a third party. Authors should also ensure not to submit any information which they do not have the copyright of or of which they have transferred the copyrights to a third party. Contents on WebmedCentral are purely for biomedical researchers and scientists. They are not meant to cater to the needs of an individual patient. The web portal or any content(s) therein is neither designed to support, nor replace, the relationship that exists between a patient/site visitor and his/her physician. Your use of the WebmedCentral site and its contents is entirely at your own risk. We do not take any responsibility for any harm that you may suffer or inflict on a third person by following the contents of this website. WebmedCentral > Original Articles Page 6 of 6
Thyroid Dysfunction in Dysfunctional Uterine Bleeding
Article ID: WMC002221 ISSN 2046-1690 Thyroid Dysfunction in Dysfunctional Uterine Bleeding Corresponding Author: Dr. Veena Aseeja, Associate Professor, Obs and Gynae MMIMSR Mullana Ambala, 160104 - India
More informationThe Accuracy of Commercial Blood Uric Acid Meters on Blood Uric Acid Level Measurement
Article ID: WMC001778 2046-1690 The Accuracy of Commercial Blood Uric Acid Meters on Blood Uric Acid Level Measurement Corresponding Author: Dr. Tak S Ching, Assistant Professor, Graduate Institute of
More informationA Very Rare Indication in Urology: Ablation of all the Urinary Organs: About A Case
Article ID: WMC002102 ISSN 2046-1690 A Very Rare Indication in Urology: Ablation of all the Urinary Organs: About A Case Author(s):Dr. Hatim El Karni, Dr. Bezzaz Aicha, Dr. El Ghanmi Jihad, Dr. Koutani
More informationOrdering and interpreting thyroid tests in children. Paul Kaplowitz, MD, PhD Children s National Medical Center, Washington, DC
Ordering and interpreting thyroid tests in children Paul Kaplowitz, MD, PhD Children s National Medical Center, Washington, DC Objectives To review indications for thyroid testing To discuss which tests
More informationArticle ID: WMC001862 2046-1690
Article ID: WMC001862 2046-1690 Assessing Effort During Clinical Neuropsychological Testing of Patients: Relevance to Law Suits, Patients with Neurological Disorders and Financially Motivated Claimants
More informationContinuity Clinic Educational Didactic. December 8 th December 12 th
Continuity Clinic Educational Didactic December 8 th December 12 th MKSAP Question 1 A 60-year-old man is evaluated for a 1-year history of generalized fatigue and lack of energy. He has had erectile dysfunction
More informationThyroid Dysfunction in Dysfunctional Uterine Bleeding
Article ID: WMC002235 ISSN 2046-1690 Thyroid Dysfunction in Dysfunctional Uterine Bleeding Corresponding Author: Dr. Tajinder Kaur, Associate Professor, MMIMSR, Mullana Ambala - India Submitting Author:
More informationThyroid Dysfunction in Dysfunctional Uterine Bleeding
Article ID: WMC002221 2046-1690 ISSN Thyroid Dysfunction in Dysfunctional Uterine Bleeding Corresponding Author: Dr. Veena Aseeja, Associate Professor, Obs and Gynae MMIMSR Mullana Ambala, 160104 - India
More informationHypothyroidism clinical features and treatment. 1. The causes of hypothyroidism
Hypothyroidism clinical features and treatment 1. The causes of hypothyroidism The thyroid is a gland in the neck which makes two thyroid hormones, thyroxine (T4) and tri-iodothyronine (T3). Thyroxine
More informationPolycystic Ovarian Syndrome
Polycystic Ovarian Syndrome What is Polycystic Ovarian Syndrome? Polycystic ovary syndrome (or PCOS) is a common condition affecting 3 to 5% of women of reproductive age. It is linked with hormonal imbalances,
More informationPOLYCYSTIC OVARY SYNDROME
POLYCYSTIC OVARY SYNDROME Information Leaflet Your Health. Our Priority. Page 2 of 6 What is polycystic ovary syndrome? (PCOS) Polycystic ovary syndrome (PCOS) is the most common hormonal disorder in women
More informationEndocrine issues in FA SUSAN R. ROSE CINCINNATI CHILDREN S HOSPITAL MEDICAL CENTER
Endocrine issues in FA SUSAN R. ROSE CINCINNATI CHILDREN S HOSPITAL MEDICAL CENTER 80% of children and adults with FA have an endocrine abnormality Endocrine cells make a hormone (message) Carried in bloodstream
More informationOvarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002
Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during
More informationINFERTILITY/POLYCYSTIC OVARIAN SYNDROME. Ovulatory Dysfunction: Polycystic ovarian syndrome (PCOS)
Introduction Infertility is defined as the absence of pregnancy following 12 months of unprotected intercourse. Infertility may be caused by Ovulatory Dysfunction, Blocked Fallopian Tubes, Male Factor
More informationOvarian Torsion: Sonographic Evaluation
J Clin Ultrasound 17:327-332, June 1989 Ovarian Torsion: Sonographic Evaluation Mark A. Helvie, MD,* and Terry M. Silver, MDI Abstract: The sonographic and clinical findings of 13 patients with surgically
More informationHypothyroidism. Written by Donald Yung Edited by Dianna Louie. Basic Embryology and Anatomy
Hypothyroidism Written by Donald Yung Basic Embryology and Anatomy The thyroid gland consists of two lobes connected by an isthmus and is located anterior to the trachea at the base of the neck. During
More informationEFFECT OF INCREASED TESTOSTERONE LEVEL ON WOMAN S FERTILITY
1 Nada Polyclinic, Po ega, Croatia 2 School of Medicine, University of Zagreb, Zagreb, Croatia Preliminary Communication Received: April 15, 2004 Accepted: June 16, 2004 EFFECT OF INCREASED TESTOSTERONE
More informationHEALTH UPDATE. Polycystic Ovary Syndrome (PCOS)
HEALTH UPDATE PO Box 800760 Charlottesville, VA 22908 Gynecology: (434) 924-2773 Polycystic Ovary Syndrome (PCOS) What is it? An endocrine (hormonal) disorder. Because there is such variability in how
More informationBIOCHEMICAL TESTS FOR THE INVESTIGATION OF COMMON ENDOCRINE PROBLEMS IN THE MALE
Authoriser: Moya O Doherty Page 1 of 7 BIOCHEMICAL TESTS FOR THE INVESTIGATION OF COMMON ENDOCRINE PROBLEMS IN THE MALE The purpose of this protocol is to describe common tests used for the investigation
More informationHypogonadism and Testosterone Replacement in Men with HIV
NORTHWEST AIDS EDUCATION AND TRAINING CENTER Hypogonadism and Testosterone Replacement in Men with HIV Stephanie T. Page, MD, PhD Robert B. McMillen Professor in Lipid Research, Associate Professor of
More informationFACT SHEET. The Polycystic Ovary Syndrome (PCOS) Introduction
FACT SHEET The Polycystic Ovary Syndrome (PCOS) Introduction The polycystic ovary syndrome (PCOS) is the commonest hormonal disturbance to affect women. The main problems that women with PCOS experience
More informationPrevalence Diagnosis and Treatment of Hypogonadism in Primary Care Practice by Culley C. Carson III, MD, Boston University Medical Campus
Prevalence Diagnosis and Treatment of Hypogonadism in Primary Care Practice by Culley C. Carson III, MD, Boston University Medical Campus Hypogonadism is defined as deficient or absent male gonadal function
More informationTESTOSTERONE The Future?
TESTOSTERONE The Future? Martin M. Miner MD Co-Director Men s Health Center The Miriam Hospital Clinical Professor of Family Medicine and Urology Warren Alpert School of Medicine of Brown University Providence,
More informationUterine Fibroid Symptoms, Diagnosis and Treatment
Fibroids and IR Uterine Fibroid Symptoms, Diagnosis and Treatment Interventional radiologists use MRIs to determine if fibroids can be embolised, detect alternate causes for the symptoms and rule out misdiagnosis,
More informationThe ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side of the womb.
Surgery for Suspicious Ovarian Cysts Patient Information sheet The Ovaries The ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side
More informationFERTILITY AND AGE. Introduction. Fertility in the later 30's and 40's. Am I fertile?
FERTILITY AND AGE Introduction Delaying pregnancy is a common choice for women in today's society. The number of women in their late 30s and 40s attempting pregnancy and having babies has increased in
More informationAndrogens and CVD. Brandon Orr- Walker April 2014
Androgens and CVD Brandon Orr- Walker April 2014 Agenda What is normal physiology of Aging? Hypogonadism and disease If some is good is more becer? CVD safety Clinical features of Androgen Deficiency
More informationAll you need to know about Endometriosis. Nordica Fertility Centre, Lagos, Asaba, Abuja
All you need to know about Endometriosis October, 2015 About The Author Nordica Lagos Fertility Centre is one of Nigeria's leading centres for world class Assisted Reproductive Services, with comfort centres
More informationWhat Athletic Trainers Need to Know About Gynecology
What Athletic Trainers Need to Know About Gynecology Mona M. Shangold,, M.D. Director The Center for Women s Health and Sports Gynecology Philadelphia, PA Main Topics Normal development and function Effects
More informationPolycystic Ovarian Syndrome (PCOS)
UW MEDICINE PATIENT EDUCATION Polycystic Ovarian Syndrome (PCOS) Signs, symptoms, and treatments What is PCOS? Polycystic ovarian syndrome (PCOS) is a disorder that affects up to 1 in 10 women of reproductive
More informationHormonal Oral Contraceptives: An Overview By Kelsie Court. A variety of methods of contraception are currently available, giving men and
Hormonal Oral Contraceptives: An Overview By Kelsie Court A variety of methods of contraception are currently available, giving men and women plenty of options in choosing a method suitable to his or her
More informationEndocrine Causes of Chronic Fatigue Syndrome (CFS)/Chronic Fatigue Immune. Deficiency Syndrome (CFIDS):
1 Endocrine Causes of Chronic Fatigue Syndrome (CFS)/Chronic Fatigue Immune Deficiency Syndrome (CFIDS): A Brief Guide for Patients and Primary Care Physicians Theodore C. Friedman and Camille Kimball
More informationPrior Authorization Form
Prior Authorization Form Growth Hormone This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and date. Fax signed forms to CVS/Caremark at
More informationOVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional
OVARIAN CYSTS Follicular Cyst Ovarian cysts are fluid-filled sacs that form within or on the ovary. The majority of these cysts are functional meaning they usually form during a normal menstrual cycle.
More informationLakeview Endocrinology and Diabetes Consultants. 2719 N Halsted St C-1. Chicago IL 60614 P: 773 388 5685 F: 773 388 5687. www.lakeviewendocrinolgy.
Lakeview Endocrinology and Diabetes Consultants 2719 N Halsted St C-1 Chicago IL 60614 P: 773 388 5685 F: 773 388 5687 www.lakeviewendocrinolgy.com Patient information: Early menopause (premature ovarian
More informationFertility care for women diagnosed with cancer
Saint Mary s Hospital Department of Reproductive Medicine Fertility care for women diagnosed with cancer Information For Patients INF/DRM/NUR/16 V1/01/11/2013 1 2 Contents Page Overview 4 Our Service 4
More informationOVARIAN CANCER TREATMENT
OVARIAN CANCER TREATMENT Cancer Care Pathways Directorate Tailored Information in Cancer Care (TICC) Sir Anthony Mamo Oncology Centre National Cancer Plan May 2015 Contents About this booklet 1 The Ovaries
More informationRegions Hospital Delineation of Privileges Internal Medicine - Endocrinology
Regions Hospital Delineation of Privileges Internal Medicine - Endocrinology Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review
More informationGUIDELINES ON MALE HYPOGONADISM
GUIDELINES ON MALE HYPOGONADISM G.R. Dohle (chair), S. Arver,. Bettocchi, S. Kliesch, M. Punab, W. de Ronde Introduction Male hypogonadism is a clinical syndrome caused by androgen deficiency. It may adversely
More informationThe cost-effectiveness of IVF in the UK: a comparison of three gonadotrophin treatments Sykes D, Out H J, Palmer S J, van Loon J
The cost-effectiveness of IVF in the UK: a comparison of three gonadotrophin treatments Sykes D, Out H J, Palmer S J, van Loon J Record Status This is a critical abstract of an economic evaluation that
More informationLaboratory orientation programme - A need based training for quality reports and enhancing hospital administration
Article ID: WMC004854 ISSN 2046-1690 Laboratory orientation programme - A need based training for quality reports and enhancing hospital administration Peer review status: No Corresponding Author: Dr.
More informationNURSE PRACTITIONER STANDARDS FOR PRACTICE
NURSE PRACTITIONER STANDARDS FOR PRACTICE February 2012 Acknowledgement The Association of Registered Nurses of Prince Edward Island gratefully acknowledges permission granted by the Nurses Association
More informationChildhood. Unknown. Minimal gonadotrophin stimulation. Signal that dampens GNRH stimulation? Signal that dampens GNRH stimulation?
Normal Pubertal Development Childhood Minimal gonadotrophin stimulation Due to dampening of GNRH stimulation Signal that dampens GNRH stimulation? Signal that dampens GNRH stimulation? Unknown Any interference
More informationMODEL FORM. [Program s SART Name and Number] INFORMED CONSENT FOR EGG DONORS
MODEL FORM [Program s SART Name and Number] INFORMED CONSENT FOR EGG DONORS You are agreeing to undergo a cycle of egg donation at [program s SART name]. Do not sign this document if you have not received
More informationWomen s Health Laparoscopy Information for patients
Women s Health Laparoscopy Information for patients This leaflet is for women who have been advised to have a laparoscopy. It outlines the common reasons doctors recommend this operation, what will happen
More informationSO, WHAT IS A POOR RESPONDER?
SO, WHAT IS A POOR RESPONDER? We now understand why ovarian reserve is important and how we assess it, but how is poor response defined? Unfortunately, there is no universally accepted definition for the
More informationREPRODUCTIVE MEDICINE AND INFERTILITY ASSOCIATES Woodbury Medical Arts Building 2101 Woodwinds Drive Woodbury, MN 55125 (651) 222-6050
REPRODUCTIVE MEDICINE AND INFERTILITY ASSOCIATES Woodbury Medical Arts Building 2101 Woodwinds Drive Woodbury, MN 55125 (651) 222-6050 RECIPIENT COUPLE INFORMED CONSENT AND AUTHORIZATION FOR IN VITRO FERTILIZATION
More informationTestosterone in Old(er) Men
Testosterone in Old(er) Men Disclosure Information J. Bruce Redmon, M.D. Associate Professor Division of Endocrinology I have no financial relationships to disclose. I will not discuss off label use and/or
More informationINTRODUCTION TO HORMONES
INTRODUCTION TO HORMONES UNIVERSITY OF PNG SCHOOL OF MEDICINE AND HEALTH SCIENCES DISCIPLINE OF BIOCHEMISTRY & MOLECULAR BIOLOGY PBL MBBS II SEMINAR VJ Temple What are hormones? Cells in multi-cellular
More informationRECOMMENDATIONS. INVESTIGATION AND MANAGEMENT OF PRIMARY THYROID DYSFUNCTION Clinical Practice Guideline April 2014
INVESTIGATION AND MANAGEMENT OF PRIMARY THYROID DYSFUNCTION Clinical Practice Guideline April 2014 OBJECTIVE Alberta clinicians optimize laboratory testing for the investigation and management of primary
More informationOVARIAN CANCER IS A MAJOR CAUSE OF MORBIDITY AND MORTALITY IN WOMEN. Name of Student HTHSCI 1110 WEBER STATE UNIVERSITY.
Ovarian Cancer 2 OVARIAN CANCER IS A MAJOR CAUSE OF MORBIDITY AND MORTALITY IN WOMEN by Name of Student HTHSCI 1110 WEBER STATE UNIVERSITY Ogden, Utah Instructor s Name Date Ovarian Cancer 2 Background
More informationSystematic review by: Dr. Ashraf Ahmed ElDaly, M.Sc., M.D.
Role of luteinizing hormone supplementation in the follicular phase and pregnancy, during controlled ovarian hyperstimulation in in vitro fertilization Systematic review by: Dr. Ashraf Ahmed ElDaly, M.Sc.,
More informationRBH GUIDELINES FOR ULTRASOUND REFERRAL
RBH GUIDELINES FOR ULTRASOUND REFERRAL Introduction Ultrasound can be very useful as a first line investigation; it is typically non-invasive and does not involve ionising radiation. However, a significant
More informationWhat are the differences between fibroid and ovarian cyst?
DR LEE KEEN WHYE MBBS (Singapore), FRCOG (U.K), FAMS (Singapore) Consultant Obstetrician & Gynaecologist Advisor, Endometriosis Association, Singapore KW Lee Clinic & Surgery For Women No. 6 Napier Road,
More informationPCOS Poly Cystic Ovarian Syndrome and Gardasil Prepared by Leslie Carol Botha April 15, 2011
PCOS Poly Cystic Ovarian Syndrome and Gardasil Prepared by Leslie Carol Botha April 15, 2011 Polycystic ovarian syndrome (PCOS) is a disorder characterized by laboratory and/or clinical findings of higher
More informationTHYROID DISEASE IN CHILDREN
THYROID DISEASE IN CHILDREN Douglas G. Rogers, M.D. Center for Pediatric and Adolescent Endocrinology Cleveland Clinic Foundation Unfortunately neither I nor any immediate family members have any financial
More informationTestosterone: Is Just for the GOP?
Testosterone: Is Just for the GOP? Brad Anawalt, MD Vice Chair and Professor of Medicine University of Washington May 1, 2015 banawalt@medicine.washington.edu Testosterone continuum Severe hypogonadism
More informationScreening for ovarian cancer Page 1 of 5 Ovacome
Fact sheet 9 Screening for ovarian cancer Ovacome is a national charity providing advice and support to women with ovarian cancer. We give information about symptoms, diagnosis, treatment, research and
More informationHow do fertility drugs work?
How do fertility drugs work? Under normal circumstances, ovulation occurs once a month when a ripened egg which is ready to be fertilised is released from the ovaries. For couples who are trying to conceive,
More informationFrequently Asked Questions About Ovarian Cancer
Media Contact: Gerri Gomez Howard Cell: 303-748-3933 gerri@gomezhowardgroup.com Frequently Asked Questions About Ovarian Cancer What is ovarian cancer? Ovarian cancer is a cancer that forms in tissues
More informationAdvice about familial aspects of breast cancer and epithelial ovarian cancer a guide for health professionals DECEMBER 2010
Advice about familial aspects of breast cancer and epithelial ovarian cancer a guide for health professionals DECEMBER 2010 This guide has three parts: 1. Information for health professionals 2. Tables
More informationSex Hormone Testing by Mass Spectrometry
Sex Hormone Testing by Mass Spectrometry Robert L. Fitzgerald, PhD, DABCC Professor of Pathology University of California-San Diego San Diego, CA, 92161 rfitzgerald@ucsd.edu Learning Objectives After this
More informationGrowth Hormone Therapy
Growth Hormone Therapy Policy Number: Original Effective Date: MM.04.011 05/21/1999 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST 10/28/2011 Section: Prescription Drugs Place(s) of Service:
More informationPremature Sexual Maturation
Premature Sexual Maturation (Including precocious puberty) SERIES 1 SERIES 2 SERIES 3 SERIES 4 SERIES 5 SERIES 6 SERIES 7 SERIES 8 SERIES 9 SERIES 10 SERIES 11 SERIES 12 SERIES 13 SERIES 14 SERIES 15 SERIES
More informationPOSTMENOPAUSAL ASSESS AND WHAT TO DO
POSTMENOPAUSAL OVARIAN CYSTS:HOW TO ASSESS AND WHAT TO DO Steven R. Goldstein, MD Professor of Obstetrics and Gynecology Director of Gynecologic Ultrasound Co-Director, Bone Densitometry New York University
More informationINFORMED CONSENT AND AUTHORIZATION FOR IN VITRO FERTILIZATION OF PREVIOUSLY CRYOPRESERVED OOCYTES
INFORMED CONSENT AND AUTHORIZATION FOR IN VITRO FERTILIZATION OF PREVIOUSLY CRYOPRESERVED OOCYTES We, the undersigned, as patient and partner understand that we will be undergoing one or more procedures
More informationHOW IS OVARIAN RESERVE ASSESSED?
HOW IS OVARIAN RESERVE ASSESSED? The majority of indicators we have to assess OR assess egg quantity rather than egg quality and these two do not always go hand in hand. No individual test is a perfect
More informationGuidance for Preconception Care of Women with Thyroid Disease
Before, Between & Beyond Pregnancy The National Preconception Curriculum and Resources Guide for Clinicians Guidance for Preconception Care of Women with Thyroid Disease Avi Alkalay, MD Department of Obstetrics
More informationSpecialists In Reproductive Medicine & Surgery, P.A.
Specialists In Reproductive Medicine & Surgery, P.A. Craig R. Sweet, M.D. www.dreamababy.com Fertility@DreamABaby.com Excellence, Experience & Ethics Endometriosis Awareness Week/Month Common Questions
More informationTumour Markers. What are Tumour Markers? How Are Tumour Markers Used?
Dr. Anthony C.H. YING What are? Tumour markers are substances that can be found in the body when cancer is present. They are usually found in the blood or urine. They can be products of cancer cells or
More informationCOULD IT BE LOW TESTOSTERONE?
COULD IT BE LOW TESTOSTERONE? By Dr. Lauren M. Bramley For thousands of years women have been recognized for their sensitivity to hormones. PMS, post partum depression, menopause have long been plights
More informationOverview: 1. Epidemiology of childhood cancer survivorship 2. Late effects 3. Palliative care of survivors 4. Examples
Childhood Cancer Survivorship Jacqueline Casillas, M.D., M.S.H.S. Associate Program Director of the UCLA-LIVESTRONG LIVESTRONGTM TM Center of Excellence for Survivorship Care Overview: 1. Epidemiology
More informationBUPA Health Insurance (Thailand) Ltd. 104/9 Unit M02-03 The Avenue Chaengwattana Moo 1 Chaengwattana Tungsonghong Laksi Bangkok 10210
BUPA Health Insurance (Thailand) Ltd 104/9 Unit M02-03 The Avenue Chaengwattana Moo 1 Chaengwattana Tungsonghong Laksi Bangkok 10210 Tel. 02 573 8700 Fax 02 573 8711 Application Form Suggestion for filling
More informationThe ABC s and T s of Male Infertility
The ABC s and T s of Male Infertility Men s Health Initiative of BC - Focus on Testosterone Ethan D. Grober, MD, MEd, FRCSC Assistant Professor University of Toronto Department of Surgery, Division of
More informationUSEFULNESS OF BONE AGE IN PAEDIATRIC ENDOCRINOLOGY. Rina Balducci Center of Pediatric Endocrinology, Department of Public Health and Cell Biology
USEFULNESS OF BONE AGE IN PAEDIATRIC ENDOCRINOLOGY Gian Luigi Spadoni and Stefano Cianfarani Rina Balducci Center of Pediatric Endocrinology, Department of Public Health and Cell Biology Tor Vergata University,
More informationA list of FDA-approved testosterone products can be found by searching for testosterone at http://www.accessdata.fda.gov/scripts/cder/drugsatfda/.
FDA Drug Safety Communication: FDA cautions about using testosterone products for low testosterone due to aging; requires labeling change to inform of possible increased risk of heart attack and stroke
More informationEndometriosis Obstetrics & Gynaecology Women and Children s Group
Endometriosis Obstetrics & Gynaecology Women and Children s Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that
More informationOvarian cancer. A guide for journalists on ovarian cancer and its treatment
Ovarian cancer A guide for journalists on ovarian cancer and its treatment Contents Contents 2 3 Section 1: Ovarian Cancer 4 i. Types of ovarian cancer 4 ii. Causes and risk factors 5 iii. Symptoms and
More informationCIVIL AVIATION REQUIREMENTS SECTION 7 - FLIGHT CREW STANDARDS, TRAINING AND LICENSING SERIES C PART II EFFECTIVE: FORTHWITH
GOVERNMENT OF INDIA OFFICE OF DIRECTOR GENERAL OF CIVIL AVIATION TECHNICAL CENTRE, OPP SAFDARJANG AIRPORT, NEW DELHI CIVIL AVIATION REQUIREMENTS SECTION 7 - FLIGHT CREW STANDARDS, TRAINING AND LICENSING
More informationUpdate on thyroid cancer surveillance and management of recurrent disease. Minimally invasive thyroid surgery
Update on thyroid cancer surveillance and management of recurrent disease Minimally invasive thyroid surgery July 2006 Michael W. Yeh, MD Program Director, Endocrine Surgery Assistant Professor, David
More informationX-Plain Low Testosterone Reference Summary
X-Plain Low Testosterone Reference Summary Introduction Testosterone is the most important male sex hormone. It helps the body produce and maintain adult male features. Low levels of testosterone affect
More informationFollow-Up Care for Breast Cancer
A Patient s Guide Follow-Up Care for Breast Cancer Recommendations of the American Society of Clinical Oncology The American Society of Clinical Oncology (ASCO) is a nonprofit organization which represents
More informationIf you are still in your fertility years If you are past your fertility years and need surgery for a mass or for pain and have normal ovaries
If you are still in your fertility years, an ovary should be removed only if there is a large, complex or persistent mass on it or if you have intolerable pain from endometriosis. There should be an attempt
More informationTestosterone; What s all the hype? KRISTEN WYRICK, LTCOL,USAFR, MC USUHS, FAMILY MEDICINE JOINT BASE LANGLEY-EUSTIS
Testosterone; What s all the hype? KRISTEN WYRICK, LTCOL,USAFR, MC USUHS, FAMILY MEDICINE JOINT BASE LANGLEY-EUSTIS The faces of Low Testosterone What your patients are seeing Pharmacy Industry Testosterone
More informationReport series: General cancer information
Fighting cancer with information Report series: General cancer information Eastern Cancer Registration and Information Centre ECRIC report series: General cancer information Cancer is a general term for
More informationregulation of ECF composition and volume regulation of metabolism thyroid hormones, epinephrine, growth hormone, insulin and glucagon
Hormonal Effects regulation of ECF composition and volume ADH, aldosterone, ANF regulation of metabolism thyroid hormones, epinephrine, growth hormone, insulin and glucagon regulation of muscle contraction
More informationINFORMED CONSENT FOR EGG DONORS PRACTITIONER S GUIDE TO USING THE MODEL FORM
INFORMED CONSENT FOR EGG DONORS PRACTITIONER S GUIDE TO USING THE MODEL FORM A. GENERAL GUIDELINES AND COMMENTS Purpose and Use of the Model Form This is a guide for practitioners to using the Model Informed
More informationIntroduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system.
Ovarian Cysts Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Most women have ovarian cysts sometime
More informationAge and Fertility. A Guide for Patients PATIENT INFORMATION SERIES
Age and Fertility A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of the Patient Education Committee and the Publications
More informationMENOPAUSE WOMAN'S TEST (Assessment of hormone balance)
ATTACHMENT: Useful remarks for patient and doctor, to be associated to the analytical results. Your doctor should interpret this report. Cod. ID: 123456 CCV: 6bf Date: 01/01/2013 Patient: Rossi Mario Rapport
More informationAcupuncture Treatment For Infertile Women Undergoing Intracytoplasmic Sperm injection
Acupuncture Treatment For Infertile Women Undergoing Intracytoplasmic Sperm injection Sandra L. Emmons, MD Phillip Patton, MD Source: Medical Acupuncture, A Journal For Physicians By Physicians Spring
More informationPrediction of Pregnancy Outcome Using HCG, CA125 and Progesterone in Cases of Habitual Abortions
Prediction of Pregnancy Outcome Using HCG, CA125 and Progesterone in * (MBChB, FICMS, CABOG) **Sawsan Talib Salman (MBChB, FICMS, CABOG) ***Huda Khaleel Ibrahim (MBChB) Abstract Background: - Although
More informationParents Guide To Primary Congenital Hypothyroidism
Parents Guide To Primary Congenital Hypothyroidism California Department of Health Services Genetic Disease Branch www.dhs.ca.gov/gdb To Parents: California State Law requires that all babies have the
More informationPACKAGE INSERT PREGNYL. (chorionic gonadotropin for injection, USP) 10,000 units/vial. Human Gonadotropin
PACKAGE INSERT PREGNYL (chorionic gonadotropin for injection, USP) 10,000 units/vial Human Gonadotropin Merck Canada Inc. 16750 route Transcanadienne Kirkland QC Canada H9H 4M7 Date of Revision: February
More informationOverview of Gynaecologic Cancer
Overview of Gynaecologic Cancer Stuart Salfinger Gynaecologic Oncologist St John of God Hospital King Edward Memorial Hospital Cervical Cancer Cervical Cancer Risk HPV Smoking?OCP Cervical Cancer Symptoms
More informationTestosterone Treatment: Myths Vs Reality. Fadi Al-Khayer, M.D, F.A.C.E
Testosterone Treatment: Myths Vs Reality Fadi Al-Khayer, M.D, F.A.C.E The Biological Functions of Testosterone in Men Testosterone is essential to the musculoskeletal and metabolic systems throughout a
More informationCalcium. Table 1: Difference between method means in percent
Calcium Measurement of total calcium is widely used for both the diagnosis and the monitoring of a range of conditions related to the bones, heart, nerves, and kidneys. Total calcium measurements include
More informationA Left Paraduodenal Hernia Causing Recurrent Small Bowel Obstruction : A Case Report
Article ID: WMC001308 2046-1690 A Left Paraduodenal Hernia Causing Recurrent Small Bowel Obstruction : A Case Report Corresponding Author: Dr. Prashanth Shetty, Associate Professor, Kasturba Medical College,
More informationManagement fertility sparing degli endometriomi Errico Zupi
Management fertility sparing degli endometriomi Errico Zupi Università Tor Vergata Roma Management of endometrioma Pain Infertility Surgical treatment Medical treatment Infertility clinic Both medical
More informationPseudohypoparathyroidism: A Variation on the Theme of Hypoparathyroidism
Pseudohypoparathyroidism: A Variation on the Theme of Hypoparathyroidism Amanda Tencza MS IV 1 and Michael A. Levine, MD 2 1 Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
More information